NURS 480 EXAM 2 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTIONS – WCU.
D) Help the patient to use a pillow to splint while coughing - (answer)Which nursing intervention for a
patient who had an open repair of an abdominal aortic aneurysm 2 days previously is appropriate for
the nurse to delegate to unlicensed assistive personnel (UAP)?
A) Monitor the quality and presence of the pedal pulses
B) Teach the patient the sign of possible wound infection
C) Check the lower extremities for strength and movement
D) Help the patient to use a pillow to splint while coughing
A) Go the the clients room and assess the client
Feedback: The client should always be assessed by the primary nurse to determine if there are any
problems with the client and/or leads - (answer)The nurse is unable to read the telemetry monitor at
the nurses station. Which intervention should the nurse implement first?
A) Go the the clients room and assess the client
B) Instruct the telemetry nurse to check on the client
C) Contact the client on the call system
D) Request the nursing assistant to take crash cart to clients room
,NURS 480 EXAM 2 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTIONS – WCU.
C) ST segment elevation - (answer)A patient with chest pain that is unrelieved by nitroglycerin is
admitted to the coronary care unit for observation and diagnosis. While the patient has continuous ECG
monitoring, what finding would most concern the nurse?
A) Occasional Premature Ventricular Contractions
B) QRS complex change
C) ST segment elevation
D) A PR interval of 0.18 seconds
C) The client has numbness and tingling - (answer)Which assessment data would warrant immediate
intervention in the client diagnosed with arterial occlusive disease?
A) The client has 2+ pedal pulses
B) The client is able to move the toes
C) The client has numbness and tingling
D) The clients feet are red when standing
C) A loss of palpable pulses and numbness and tingling of the feet
Feedback: A loss of palpable pulses, numbness and tingling, etc. are indications of occlusion of the
bypass graft and need immediate medical attention - (answer)During care of the patient following
femoral bypass graft surgery, the nurse immediately notifies the health care provider if the patient
experience?
A) Fever and redness at the incision site
B) 2+ edema of the extremity and pain at the incision site
C) A loss of palpable pulses and numbness and tingling of the feet
, NURS 480 EXAM 2 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTIONS – WCU.
D) Increasing ankle-brachial indices and serous drainage from the incision
B) Assist feeding the client diagnosed with congestive heart failure - (answer)The nurse is caring for
clients on a telemetry floor. Which nursing task would be most appropriate to delegate to an unlicensed
assistive personnel?
A) Teach the client how to perform a glucometer check
B) Assist feeding the client diagnosed with congestive heart failure
C) Check the cholesterol level for the client diagnosed with atherosclerosis
D) Assist the nurse to check the unit of blood at the clients bedside
12 - (answer)Ordered: IV Nesiritide, 2 mcg/kg STAT for exacerbation of Heart Failure
Have: 40 mcg Nesiritide in 3 mLs
Patient's weight: 176 lbs or 80 kgs
How many mLs will you give to your patient for this STAT dose?
C) Monitor the clients pedal pulses every 2-4 hours
Feedback: The pedal pulses should be checked frequently to establish continuous perfusion. The
dressing should be reviewed and changed every 4 hours initially to determine drainage and/or signs of
COMPLETE SOLUTIONS – WCU.
D) Help the patient to use a pillow to splint while coughing - (answer)Which nursing intervention for a
patient who had an open repair of an abdominal aortic aneurysm 2 days previously is appropriate for
the nurse to delegate to unlicensed assistive personnel (UAP)?
A) Monitor the quality and presence of the pedal pulses
B) Teach the patient the sign of possible wound infection
C) Check the lower extremities for strength and movement
D) Help the patient to use a pillow to splint while coughing
A) Go the the clients room and assess the client
Feedback: The client should always be assessed by the primary nurse to determine if there are any
problems with the client and/or leads - (answer)The nurse is unable to read the telemetry monitor at
the nurses station. Which intervention should the nurse implement first?
A) Go the the clients room and assess the client
B) Instruct the telemetry nurse to check on the client
C) Contact the client on the call system
D) Request the nursing assistant to take crash cart to clients room
,NURS 480 EXAM 2 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTIONS – WCU.
C) ST segment elevation - (answer)A patient with chest pain that is unrelieved by nitroglycerin is
admitted to the coronary care unit for observation and diagnosis. While the patient has continuous ECG
monitoring, what finding would most concern the nurse?
A) Occasional Premature Ventricular Contractions
B) QRS complex change
C) ST segment elevation
D) A PR interval of 0.18 seconds
C) The client has numbness and tingling - (answer)Which assessment data would warrant immediate
intervention in the client diagnosed with arterial occlusive disease?
A) The client has 2+ pedal pulses
B) The client is able to move the toes
C) The client has numbness and tingling
D) The clients feet are red when standing
C) A loss of palpable pulses and numbness and tingling of the feet
Feedback: A loss of palpable pulses, numbness and tingling, etc. are indications of occlusion of the
bypass graft and need immediate medical attention - (answer)During care of the patient following
femoral bypass graft surgery, the nurse immediately notifies the health care provider if the patient
experience?
A) Fever and redness at the incision site
B) 2+ edema of the extremity and pain at the incision site
C) A loss of palpable pulses and numbness and tingling of the feet
, NURS 480 EXAM 2 | QUESTIONS AND ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTIONS – WCU.
D) Increasing ankle-brachial indices and serous drainage from the incision
B) Assist feeding the client diagnosed with congestive heart failure - (answer)The nurse is caring for
clients on a telemetry floor. Which nursing task would be most appropriate to delegate to an unlicensed
assistive personnel?
A) Teach the client how to perform a glucometer check
B) Assist feeding the client diagnosed with congestive heart failure
C) Check the cholesterol level for the client diagnosed with atherosclerosis
D) Assist the nurse to check the unit of blood at the clients bedside
12 - (answer)Ordered: IV Nesiritide, 2 mcg/kg STAT for exacerbation of Heart Failure
Have: 40 mcg Nesiritide in 3 mLs
Patient's weight: 176 lbs or 80 kgs
How many mLs will you give to your patient for this STAT dose?
C) Monitor the clients pedal pulses every 2-4 hours
Feedback: The pedal pulses should be checked frequently to establish continuous perfusion. The
dressing should be reviewed and changed every 4 hours initially to determine drainage and/or signs of
